How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | None | $891.25 | $1,148.15 | $1,148.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,122.02 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $4,168.69 | Facility | None | $691.83 | $3,162.28 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $1,659.59 | Professional | None | $891.25 | $1,548.82 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,819.70 | Professional | None | $812.83 | $1,047.13 | $1,819.70 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $660.69 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $131.83 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $616.60 | $812.83 | $812.83 |
Where Arkansas sits
The same service costs 7.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 24th of 51
$1,349
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.